Low - dose chemotherapy, radiation, or targeted therapies given in combination
with immune checkpoint blockade may prove to be an effective and efficient way to immunize the body against tumor cells,» says CRI Scientific Advisory Council associate director James P. Allison, Ph.D., who identified the first immune checkpoint blockade with his discovery in 1995 that the cytotoxic T lymphocyte antigen - 4 (CTLA - 4) receptor inhibited T cell responses.
«Cancers evade immunotherapy by «discarding the evidence» of tumor - specific mutations: Discovery could explain widespread acquired resistance among patients treated
with immune checkpoint blockade drugs.»
Researchers found the gene therapy approach had stronger results when used in combination with either depletion of immunosuppressive cells from the tumor mass or
with immune checkpoint blockade.
Their study of fecal samples from 105 patients treated
with immune checkpoint blockade indicates that certain characteristics of patients» microbiomes correlate with slower disease progression while other qualities are associated with rapid worsening of the disease.
Not exact matches
In a retrospective analysis of clinical trial data, they found that melanoma patients
with highly aneuploid tumors were less likely to benefit from
immune checkpoint blockade therapy than patients whose tumors showed fewer chromosomal disruptions.
Researchers at The University of Texas MD Anderson Cancer Center developed a novel chimeric mouse model to test the combination therapy using
immune checkpoint blockades with therapies targeting myeloid - derived suppressor cells (MDSCs).
One phase I trial of an
immune checkpoint blockade drug combined
with two established targeted therapies yielded 40 - 50 percent response rates among patients
with metastatic kidney cancer.
Obesity is associated
with increased inflammation, which could improve the effectiveness of
checkpoint blockade drugs that unleash an
immune response against cancer.
Checkpoint blockade therapy works by interfering
with cancer's ability to turn off the body's
immune reaction.
The
immune checkpoint blockade drug nivolumab reduced tumor burden in 24.4 percent of patients
with metastatic bladder cancer, regardless of whether their tumors had a biomarker related to the drug's target, according to clinical trial results from The University of Texas MD Anderson Cancer Center.
As demonstrated by the breadth of clinical trial involvement shown above, CCIR members are testing the utility of
immune checkpoint blockade in lymphoma (shown by Dr. Allison to be effective against melanoma), genetic engineering in cell therapy (e.g., CD19, CXCR2, TGF - β DNR), and TLR agonists or IL - 2 in vaccine formulations as well as some novel combination therapies, such as the infusion of tumor - reactive lymphocytes from HLA - matched donors who were vaccinated
with a lymphoma idiotype.
A Brief Report published recently in the New England Journal of Medicine detailed two cases of patients treated
with combination
immune checkpoint blockade for metastatic melanoma who developed myositis, early progressive and refractory cardiac electrical instability, and myocarditis.
The
blockade of
immune checkpoints with antibodies (Ab) anti-CTLA-4, anti-PD1 and anti-PD-L1, has given impressive clinical results and manageable safety profiles.
In melanoma, an increase in overall mutational and neoantigen load — novel tumor - specific antigens that can be recognized by the
immune system — was associated
with clinical benefit from
checkpoint blockade.
It is also the first in an emerging class of therapies called «
checkpoint blockade,» which enhance the
immune system's ability to attack cancer by interfering
with immunological
checkpoints that slow or stop
immune cell activation and proliferation in the presence of tumors or chronic viral infection.
Along
with checkpoint blockade antibodies, vaccines, and other immunotherapies, BiTEs are helping to turn our
immune system into a powerful defense against this disease.